My dog was impaled on a large branch in a creek. She had a hole in her belly the size of a quarter. The animal hospital had to operate on her overnight. They made a five inch incision to clean the wound and make sure there was no perforation of her stomach, and they installed a drain tube. The bills were over $1500. VPI/Nationwide treated it as a routine laceration and paid only $375. They said I couldn't talk to a medically trained reviewer, but could only talk to customer service, who would only talk about the "code." for laceration. They told me to go talk to my state insurance commissioner if I had a problem with it.